| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,640 |
8,175 |
$310K |
| 71045 |
Radiologic examination, chest; single view |
30,213 |
26,879 |
$248K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,458 |
2,407 |
$212K |
| 71046 |
Radiologic examination, chest; 2 views |
2,975 |
2,926 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
158 |
157 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
179 |
177 |
$8K |
| 73630 |
|
427 |
375 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
39 |
39 |
$4K |
| 73562 |
|
355 |
315 |
$3K |
| 73030 |
|
237 |
222 |
$2K |
| 73502 |
|
155 |
152 |
$1K |
| 71010 |
|
219 |
196 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
24 |
24 |
$1K |
| 73130 |
|
147 |
136 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
44 |
$1K |
| 73610 |
|
117 |
111 |
$931.48 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
40 |
40 |
$723.68 |
| 93976 |
|
24 |
24 |
$612.07 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
40 |
40 |
$585.05 |
| 71020 |
|
52 |
46 |
$412.62 |
| 74018 |
|
27 |
24 |
$215.61 |
| 73110 |
|
29 |
28 |
$190.34 |
| 72100 |
|
13 |
12 |
$110.76 |